People with a personality disorder have a exaggerated sense of their importance. They want external praise and attention. Therapy can help them.

People with a personality disorder that has an inflated opinion of themselves are called a NPD. They need the attention of others.

“People with NPD may be unhappy when they don’t get the praise or special favors they think they deserve. Others may see them as snobbish and conceited and may not like being around them.”

Problems can be caused by the problem of NPD.

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  • relationships

NPD may affect up to 6.2% of the population and is slightly more common in men than women. People with NPD can manage the disorder with talk therapy and certain lifestyle changes.

People with the disorder are usually described as:

  • arrogant
  • Self-centered.
  • demanding

They often have high self-esteem and may believe they’re special or superior to others. However, they seem to need excessive praise and admiration and may react poorly to perceived criticism.

Narcissists also tend to exaggerate their talents and accomplishments while downplaying those of others. They’re usually preoccupied with power, success, and beauty. They might even engage in impulsive behaviors, such as gambling or certain sexual behaviors.

Some of the characteristics of NPD may look similar to confidence, but healthy confidence and NPD are not.

People with healthy self-esteem are usually more modest than people with NPD. They think they are better than everyone else.

Overt narcissism vs. covert narcissism

There are two subtypes of narcissistic personality disorder (NPD): overt and covert.

Overt and covert narcissism share many of the same traits and symptoms, but people with these subtypes may interact with others in different ways. People with covert narcissism are more likely to have traits not typically associated with NPD, such as shyness and low self-esteem.

In early adulthood, it usually appears.

People with the disorder may not realize that they have a problem. If you have it, you may have it.

  • You come across as pretentious and boastful, causing others to avoid you.
  • Your relationships are not good.
  • you become unhappy, angry, and confused when things don’t go your way
  • you have ongoing issues with:
    • Work.
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    • relationships
    • finances
    • Alcohol.
    • Drugs.

If you believe you have NPD, schedule an appointment with a doctor or mental health professional. They can determine whether you have this personality disorder and suggest treatments to help you manage your symptoms.

The causes of the disorder are not well- understood.

Genetics are thought to be a factor in many cases of the disorder. Environmental factors may include:

According to a 2021 study, research is mixed on whether narcissism is more common in individualistic cultures than in collectivistic cultures.

The Diagnostic and Statistical Manual of Mental Disorders, 5th edition, text revision is used by doctors and mental health professionals to diagnose mental health conditions.

The DSM-5-TR diagnostic criteria for NPD include some characteristics.

A doctor or mental health professional may ask you to fill out a questionnaire to determine if you meet the criteria. They may also test you for other mental disorders.

Treatment for NPD primarily consists of talk therapy, also known as psychotherapy.

If symptoms of NPD occur alongside depression or another mental health condition, you may take medications to treat the other condition. There are no medications to treat NPD.

Talk therapy

Talk therapy can help you learn how to relate better to others so your relationships can become more enjoyable, intimate, and rewarding. Developing positive interactions with other people can greatly improve various areas of your life.

Talk therapy can show you how to do things.

  • improve collaboration with your co-Work.ers and peers
  • Personal relationships should be maintained.
  • You can tolerate criticisms if you know your strengths and potential.
  • Understand and manage your feelings.
  • If you have self-esteem issues, cope with them.
  • Set realistic goals for yourself.

Since personality traits can be difficult to change, it may take several years of therapy before you see an improvement. During this time, you may begin to see therapy as a waste of time and be tempted to quit. However, it’s important to stick with it. You can connect to a mental health professional using the Healthline FindCare tool.

Take your medication as directed. You may see a difference in your relationships with others with time.

Lifestyle changes

As you go through therapy, you may be able to change your lifestyle.

  • Substances that may cause problems should be avoided.
  • You can identify and pursue healthy habits.
  • Engage in relaxation techniques such as yoga and meditation to help reduce stress and anxiety.

The benefits of treatment may vary depending on your symptoms’ severity and your willingness to commit to treatment.

Over time, symptoms of NPD usually improve, though successful treatment can be difficult.

If you stay motivated and actively Work. toward change, you’ll likely be able to repair damaged relationships and become more content with your everyday life.

While it can be challenging to treat NPD, you can Work. through it. Seeing a therapist or psychologist for counseling can be very helpful, as can changing how you think and interact with others daily.

You can change your behavior at any time.


How can I maintain healthy boundaries with someone who has narcissistic personality disorder?

A Healthline reader


If you suspect you may be in a relationship with someone with NPD, you can maintain healthy boundaries.

  • Be cognizant of patterns of gaslighting and other forms of abuse.
  • Speak to your expectations.
  • Maintain your self-care.
  • They should not engage in emotional warfare or put others down.
  • You can get informed on how to identify abusive tendencies and treatment by reaching out to other people.

Kendra Kubala, PsyDAnswers represent the opinions of our medical experts. All content is strictly informational and should not be considered medical advice.

There is a debate about how to handle a person with a disorder.

When they do something right, praise them.

Acknowledge when they are disappointed. You should be able to point out rudeness to the person.

“You should be prepared for arguments based on your calling them out. If the individual with NPD doesn’t realize that their behaviors are causing problems, they’re less motivated to seek help.”

“If the person with NPD doesn’t see the problem, or doesn’t seek therapy to modify their behavior, calling them out on their behavior may cause them to self-regulate in your presence, knowing that you won’t tolerate their behavior.”

This article is in Spanish.